3-uWorld

Question 1

compared to warfarin, doac have less likelihood of __ kind of bleed

Answer 1

intracranial

Question 2

ankle brachial of >1.3 means ___ prognostic sign

Answer 2

incr risk of all cause and cardiovasc mortality

Question 3

what is considered valvular afib

that needs warfarin

Answer 3

mechanical valve
or
SEVERE MS with area <1.5cm2

Question 4

patient has R thigh weakness and cramps when walking, ABI 1 , is PAD ruled out? what is next diagnstic step

Answer 4

if you still suspect it, do exercise PAD

positive if ABI drops more than 20%

Question 5

what is positive resting ABI

Answer 5

<.9

Question 6

what is door to balloon time at a place with cath lab
or
door to transfer to diff place with cath lab facility–for a STEMI (your facility lacks cath lab)
or
the symptomt to balloon time

Answer 6

90min

120min communte to the other facility

within 12 hrs!!

Question 7

tx for coarctation of aorta

Answer 7

balloon angioplasty
stenting

Question 8

why do you hear interscapular murmur in coarctation of aorta

Answer 8

blood flow through collateral vessels ie intercostal arteries (inferior rib notching)

Question 9

what valve morphology will you see with coarctaion of aorta?

what will be other causes of murmur

Answer 9

bicuspic AV

VSD
PDA
supravalvular aortic stenosis

Question 10

positive result in ABI(ankle brachial) for PAD

Answer 10

<.9

or

> 1.3 in ESRD or DM bcs cannot compress vessel…bcs calcified
(THIS ALSO MEANS INCR RISK OF ALL CAUSE and cardiovasc MORTALITY)